| NPI | 1033592241 |
|---|---|
| Doing Business As | FRESH LEAF DENTAL |
| Entity Type | Organization |
| Authorized Contact | NEVEIN AMER President/Owner 972-746-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 47881) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-12-06 |